@misc{ibrahim_a.n._sub-tenons_2017,
	title = {Sub-{Tenon}'s injection versus paracetamol in pediatric strabismus surgery},
	url = {http://www.saudija.org/},
	abstract = {Background: Emergence agitation, vomiting, and oculocardiac reflex (OCR) in children undergoing strabismus surgery under general anesthesia are common problems. The purpose of this study was to determine whether the effect of analgesia can reduce the incidence of these problems. We compared the effects of sub-Tenon's injection versus intravenous (IV) and rectal paracetamol in this surgery. Methods: In a prospective, randomized, double-blind study, ninety patients ranging in age from 4 to 8 years scheduled for extraocular muscle surgery for strabismus were included in this study. After induction of anesthesia, just before the surgery, children were divided into three groups (n = 30 for each group) Group A received sub-Tenon's anesthesia with 2.5\% bupivacaine (0.08 ml/kg). Group B received IV paracetamol (20 mg/kg). Group C received paracetamol rectal suppository (40 mg/kg). The occurrence of oculocardiac reflex (OCR) intraoperatively was recorded. Then, in the Postanesthesia Care Unit, patients were assessed for their emergence behaviors. Vomiting was also noticed. Results: The OCR developed in few patients, and there was no significant difference between the groups. The highest number of patients with agitation was in Group C followed by Group B then Group A. Vomiting was significantly low in Group A followed by Group B then Group C. Conclusion: Sub-Tenon block in strabismus surgery in children decreased the incidence of postoperative agitation and vomiting compared with IV paracetamol then rectal paracetamol. There was no difference between sub-Tenon block and paracetamol in the incidence of oculocardiac reflex. Copyright © 2017 Saudi Journal of Anesthesia ,  Published by Wolters Kluwer - Medknow.},
	journal = {Saudi Journal of Anaesthesia},
	author = {{Ibrahim A.N.} and {Shabana T.}},
	year = {2017},
	keywords = {*injection, *paracetamol, *paracetamol/ad [Drug Administration], *paracetamol/ct [Clinical Trial], *paracetamol/iv [Intravenous Drug Administration], *paracetamol/rc [Rectal Drug Administration], *pediatric surgery, *strabismus surgery, *subtenon drug administration, Child, agitation, analgesia, anesthesia induction, antiemetic agent/dt [Drug Therapy], article, behavior, bupivacaine, bupivacaine/ct [Clinical Trial], bupivacaine/io [Intraocular Drug Administration], clinical trial, controlled clinical trial, controlled study, double blind procedure, drug dosage form comparison, extraocular muscle, female, human, major clinical study, male, oculocardiac reflex, outcome assessment, patient monitoring, postoperative agitation/co [Complication], postoperative complication/co [Complication], postoperative vomiting/co [Complication], postoperative vomiting/dt [Drug Therapy], priority journal, prospective study, randomized controlled trial, recovery room, rectal drug administration, rectum, risk reduction, strabismus/su [Surgery], surgery, visually impaired person, vomiting}
}

{"_id":"5PWGY8BG8usexBarz","bibbaseid":"ibrahiman-shabanat-subtenonsinjectionversusparacetamolinpediatricstrabismussurgery-2017","downloads":0,"creationDate":"2017-05-12T20:20:57.713Z","title":"Sub-Tenon's injection versus paracetamol in pediatric strabismus surgery","author_short":["Ibrahim A.N.","Shabana T."],"year":2017,"bibtype":"misc","biburl":"http://bibbase.org/zotero/gxu917","bibdata":{"bibtype":"misc","type":"misc","title":"Sub-Tenon's injection versus paracetamol in pediatric strabismus surgery","url":"http://www.saudija.org/","abstract":"Background: Emergence agitation, vomiting, and oculocardiac reflex (OCR) in children undergoing strabismus surgery under general anesthesia are common problems. The purpose of this study was to determine whether the effect of analgesia can reduce the incidence of these problems. We compared the effects of sub-Tenon's injection versus intravenous (IV) and rectal paracetamol in this surgery. Methods: In a prospective, randomized, double-blind study, ninety patients ranging in age from 4 to 8 years scheduled for extraocular muscle surgery for strabismus were included in this study. After induction of anesthesia, just before the surgery, children were divided into three groups (n = 30 for each group) Group A received sub-Tenon's anesthesia with 2.5% bupivacaine (0.08 ml/kg). Group B received IV paracetamol (20 mg/kg). Group C received paracetamol rectal suppository (40 mg/kg). The occurrence of oculocardiac reflex (OCR) intraoperatively was recorded. Then, in the Postanesthesia Care Unit, patients were assessed for their emergence behaviors. Vomiting was also noticed. Results: The OCR developed in few patients, and there was no significant difference between the groups. The highest number of patients with agitation was in Group C followed by Group B then Group A. Vomiting was significantly low in Group A followed by Group B then Group C. Conclusion: Sub-Tenon block in strabismus surgery in children decreased the incidence of postoperative agitation and vomiting compared with IV paracetamol then rectal paracetamol. There was no difference between sub-Tenon block and paracetamol in the incidence of oculocardiac reflex. Copyright © 2017 Saudi Journal of Anesthesia , Published by Wolters Kluwer - Medknow.","journal":"Saudi Journal of Anaesthesia","author":[{"firstnames":[],"propositions":[],"lastnames":["Ibrahim A.N."],"suffixes":[]},{"firstnames":[],"propositions":[],"lastnames":["Shabana T."],"suffixes":[]}],"year":"2017","keywords":"*injection, *paracetamol, *paracetamol/ad [Drug Administration], *paracetamol/ct [Clinical Trial], *paracetamol/iv [Intravenous Drug Administration], *paracetamol/rc [Rectal Drug Administration], *pediatric surgery, *strabismus surgery, *subtenon drug administration, Child, agitation, analgesia, anesthesia induction, antiemetic agent/dt [Drug Therapy], article, behavior, bupivacaine, bupivacaine/ct [Clinical Trial], bupivacaine/io [Intraocular Drug Administration], clinical trial, controlled clinical trial, controlled study, double blind procedure, drug dosage form comparison, extraocular muscle, female, human, major clinical study, male, oculocardiac reflex, outcome assessment, patient monitoring, postoperative agitation/co [Complication], postoperative complication/co [Complication], postoperative vomiting/co [Complication], postoperative vomiting/dt [Drug Therapy], priority journal, prospective study, randomized controlled trial, recovery room, rectal drug administration, rectum, risk reduction, strabismus/su [Surgery], surgery, visually impaired person, vomiting","bibtex":"@misc{ibrahim_a.n._sub-tenons_2017,\n\ttitle = {Sub-{Tenon}'s injection versus paracetamol in pediatric strabismus surgery},\n\turl = {http://www.saudija.org/},\n\tabstract = {Background: Emergence agitation, vomiting, and oculocardiac reflex (OCR) in children undergoing strabismus surgery under general anesthesia are common problems. The purpose of this study was to determine whether the effect of analgesia can reduce the incidence of these problems. We compared the effects of sub-Tenon's injection versus intravenous (IV) and rectal paracetamol in this surgery. Methods: In a prospective, randomized, double-blind study, ninety patients ranging in age from 4 to 8 years scheduled for extraocular muscle surgery for strabismus were included in this study. After induction of anesthesia, just before the surgery, children were divided into three groups (n = 30 for each group) Group A received sub-Tenon's anesthesia with 2.5\\% bupivacaine (0.08 ml/kg). Group B received IV paracetamol (20 mg/kg). Group C received paracetamol rectal suppository (40 mg/kg). The occurrence of oculocardiac reflex (OCR) intraoperatively was recorded. Then, in the Postanesthesia Care Unit, patients were assessed for their emergence behaviors. Vomiting was also noticed. Results: The OCR developed in few patients, and there was no significant difference between the groups. The highest number of patients with agitation was in Group C followed by Group B then Group A. Vomiting was significantly low in Group A followed by Group B then Group C. Conclusion: Sub-Tenon block in strabismus surgery in children decreased the incidence of postoperative agitation and vomiting compared with IV paracetamol then rectal paracetamol. There was no difference between sub-Tenon block and paracetamol in the incidence of oculocardiac reflex. Copyright © 2017 Saudi Journal of Anesthesia , Published by Wolters Kluwer - Medknow.},\n\tjournal = {Saudi Journal of Anaesthesia},\n\tauthor = {{Ibrahim A.N.} and {Shabana T.}},\n\tyear = {2017},\n\tkeywords = {*injection, *paracetamol, *paracetamol/ad [Drug Administration], *paracetamol/ct [Clinical Trial], *paracetamol/iv [Intravenous Drug Administration], *paracetamol/rc [Rectal Drug Administration], *pediatric surgery, *strabismus surgery, *subtenon drug administration, Child, agitation, analgesia, anesthesia induction, antiemetic agent/dt [Drug Therapy], article, behavior, bupivacaine, bupivacaine/ct [Clinical Trial], bupivacaine/io [Intraocular Drug Administration], clinical trial, controlled clinical trial, controlled study, double blind procedure, drug dosage form comparison, extraocular muscle, female, human, major clinical study, male, oculocardiac reflex, outcome assessment, patient monitoring, postoperative agitation/co [Complication], postoperative complication/co [Complication], postoperative vomiting/co [Complication], postoperative vomiting/dt [Drug Therapy], priority journal, prospective study, randomized controlled trial, recovery room, rectal drug administration, rectum, risk reduction, strabismus/su [Surgery], surgery, visually impaired person, vomiting}\n}\n\n","author_short":["Ibrahim A.N.","Shabana T."],"key":"ibrahim_a.n._sub-tenons_2017","id":"ibrahim_a.n._sub-tenons_2017","bibbaseid":"ibrahiman-shabanat-subtenonsinjectionversusparacetamolinpediatricstrabismussurgery-2017","role":"author","urls":{"Paper":"http://www.saudija.org/"},"keyword":["*injection","*paracetamol","*paracetamol/ad [Drug Administration]","*paracetamol/ct [Clinical Trial]","*paracetamol/iv [Intravenous Drug Administration]","*paracetamol/rc [Rectal Drug Administration]","*pediatric surgery","*strabismus surgery","*subtenon drug administration","Child","agitation","analgesia","anesthesia induction","antiemetic agent/dt [Drug Therapy]","article","behavior","bupivacaine","bupivacaine/ct [Clinical Trial]","bupivacaine/io [Intraocular Drug Administration]","clinical trial","controlled clinical trial","controlled study","double blind procedure","drug dosage form comparison","extraocular muscle","female","human","major clinical study","male","oculocardiac reflex","outcome assessment","patient monitoring","postoperative agitation/co [Complication]","postoperative complication/co [Complication]","postoperative vomiting/co [Complication]","postoperative vomiting/dt [Drug Therapy]","priority journal","prospective study","randomized controlled trial","recovery room","rectal drug administration","rectum","risk reduction","strabismus/su [Surgery]","surgery","visually impaired person","vomiting"],"downloads":0,"html":""},"search_terms":["sub","tenon","injection","versus","paracetamol","pediatric","strabismus","surgery","ibrahim a.n.","shabana t."],"keywords":["*injection","*paracetamol","*paracetamol/ad [drug administration]","*paracetamol/ct [clinical trial]","*paracetamol/iv [intravenous drug administration]","*paracetamol/rc [rectal drug administration]","*pediatric surgery","*strabismus surgery","*subtenon drug administration","child","agitation","analgesia","anesthesia induction","antiemetic agent/dt [drug therapy]","article","behavior","bupivacaine","bupivacaine/ct [clinical trial]","bupivacaine/io [intraocular drug administration]","clinical trial","controlled clinical trial","controlled study","double blind procedure","drug dosage form comparison","extraocular muscle","female","human","major clinical study","male","oculocardiac reflex","outcome assessment","patient monitoring","postoperative agitation/co [complication]","postoperative complication/co [complication]","postoperative vomiting/co [complication]","postoperative vomiting/dt [drug therapy]","priority journal","prospective study","randomized controlled trial","recovery room","rectal drug administration","rectum","risk reduction","strabismus/su [surgery]","surgery","visually impaired person","vomiting"],"authorIDs":[],"dataSources":["9LqPNaySNpNxYBFzj"]}